Adventist Health Clearlake Hospital, Inc in Clearlake - Rural
Adventist Health Clearlake Hospital, Inc - NPI 1104080944
Adventist Health Clearlake Hospital, Inc is a Rural in Clearlake, California. Adventist Health Clearlake Hospital, Inc practices all healthcare services and medical treatments related to Rural. The NPI Number for Adventist Health Clearlake Hospital, Inc is 1104080944. The last update date is 2022-12-20.
Adventist Health Clearlake Hospital, Inc's current location address is 18th Ave And Highway 53, Clearlake, California. You can contact this provider via phone number 7079946486 and fax number 7079953631. The mailing address for Adventist Health Clearlake Hospital, Inc is 18th Ave And Highway 53, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adventist Health Clearlake Hospital, Inc |
|---|---|
| Address | 18th Ave And Highway 53, Clearlake, California |
| Phone Number | 7079946486 |
| Fax Number | 7079953631 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Assavapisitkul Colleen |
| Telephone Number | 7079955827 |
NPI Number Detail
| NPI Number | 1104080944 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2022-12-20 |
Provider Mailing Address Detail
| Address | 18th Ave And Highway 53 |
|---|---|
| City | Clearlake |
| State | California (CA) |
| Post Code | 95422 |
| Phone Number | 7079946486 |
| Fax Number | 7079953631 |
Provider's Primary Taxonomy Detail
| Speciality | Rural |
|---|---|
| Taxonomy | 282Nr1301X |
| Licence No | 110000174 |
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Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
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Post Comment/ Review Below
What is the unique identification code assigned to Adventist Health Clearlake Hospital, Inc by the Centers for Medicare & Medicaid Services?
The Adventist Health Clearlake Hospital, Inc has been issued the NPI (National Provider Identifier) 1104080944. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Adventist Health Clearlake Hospital, Inc is physically located?
The Adventist Health Clearlake Hospital, Inc is physically situated at the following address: 18Th Ave And Highway 53, Clearlake, CA, 95422.
What is Adventist Health Clearlake Hospital, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Adventist Health Clearlake Hospital, Inc's specialized field of practice is Rural, and the corresponding taxonomy code that categorizes this area of specialization is 282Nr1301X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104080944 to Adventist Health Clearlake Hospital, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1104080944 to Adventist Health Clearlake Hospital, Inc on 2008-07-10.
As of what date was the information pertaining to Adventist Health Clearlake Hospital, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Adventist Health Clearlake Hospital, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-20.